Table 4.

Genes of Interest in the Differential Diagnosis of Biallelic APOB-Related Familial Hypobetalipoproteinemia

GeneDiffDx DisorderMOIFeatures of DiffDx Disorder
Overlapping w/biallelic APOB-FHBLDistinguishing from biallelic APOB-FHBL
ANGPTL3 Familial combined hypolipidemia ARLow plasma levels of LDL cholesterolVery low plasma triglyceride & HDL cholesterol levels
MTTP Abetalipoproteinemia ARClinical features may resemble those of persons w/biallelic APOB-FHBL.

Mean age of diagnosis 3.8 yrs (vs persons w/biallelic APOB-FHBL: mean age of diagnosis 21 yrs)

PCSK9 Hypocholesterolemia w/reduced LDL cholesterol (OMIM 607786)ADLow plasma levels of LDL cholesterolMilder effect on LDL-cholesterol lowering; not assoc w/hepatic steatosis
SAR1B Chylomicron retention disease ARMay be clinically similar to biallelic APOB-FHBL (failure to thrive, steatorrhea)Chylomicrons are absent; LDL cholesterol levels are low but not absent.

AD = autosomal dominant; APOB-FHBL = APOB-related familial hypobetalipoproteinemia; AR = autosomal recessive; DiffDx = differential diagnosis; MOI = mode of inheritance

From: APOB-Related Familial Hypobetalipoproteinemia

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